Individual
EDWIN M GITUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 POWELL ST STE 900, EMERYVILLE, CA 94608-1888
(510) 982-3773
Mailing address
741 FRESNO AVE, SANTA ROSA, CA 95407-6680
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
725270
CA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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